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ENFORCE37928
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ENFORCE37928
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Entry Properties
Last modified
8/24/2016 7:46:46 PM
Creation date
11/21/2007 3:49:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982015
IBM Index Class Name
Enforcement
Doc Date
3/4/2004
Doc Name
Cert Mail Receipt NOV-March 2004 Board
From
Employers Mutual Casualty Co
To
DMG
Violation No.
MV2004015
Media Type
D
Archive
No
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/~~ ~~~ i ~~~ - c~~.s <br />^ Complete items 1, 2, and 3. Also complete <br />kem 4 If Restdcted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permks. <br />1. Article Addressetl to: <br />L~MPc.oY~fQs u%u~-(. <br />~~FSu ~}-c 17 (~ . <br />2. Artice <br />PS Form <br />A <br />in ~ C n ^ <br />B. Received by (Footed Nar ~j~ C~L1Ydtb Ofgel ery <br />LAU/LC aI+°J S ~- S <br />D. Is delivery address diRerent from ~ es <br />If YES, enter delivery adtlress below: ^ No <br />~~ ~o-~ ~~7C~~C~ <br />~~cct-Pig ~I Z ~~ <br />. DEtc'VFp <br />^ Cerlilled Mall ^ <br />^ Registemd ^ <br />^ Insured Mail ^ <br />d. ResMcted Deliver)? (E <br />7001 1140 ~~03 5605 5077 <br />August 2001 Domestic Retum Receipt <br />102595-0Nv1-1540 <br />i.S. Postal Service <br />:ERTIFIED MAIL RECEIPT <br />Domestic Mail Only: No Insurance Coverage Provider <br />~ Postage <br />O § <br />.~ <br />l17 CeniBed Fee <br />~ L/ <br />~ , <br />S ~~t~r <br /> <br />T Retum Receipt Fee <br />p (Endorsement Required) <br />- ~~~ G , <br />. <br />~ ~ ~~ <br /> <br />~ Restricted Oelroe~y Fee <br />^ (Entlorsement Requlmtn <br />~ (7 <br />~ ~r <br />` ~~ (n ~ <br />p <br />^ Total Posfage B Fros ~ ~ ~. \m ~~ <br />A <br /> G <br />'~ <br />ra Sent 7o <br />Lam/ <br />~' rf-aS~tA~1- 4 ~c2 , , <br />O or PO Box No. <br /> <br />M1 <br />o r^~ ~- Cw1313 Sl~rmuy Rpt;g16, A~nvar, Cdy~p2 (r„ <br />y~ ~ d' 't a F,: a az-ss <br />
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